Provider Demographics
NPI:1790243285
Name:JOURNEY TO RENEWAL COUNSELING
Entity Type:Organization
Organization Name:JOURNEY TO RENEWAL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-241-3374
Mailing Address - Street 1:833 NE LAFAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-4132
Mailing Address - Country:US
Mailing Address - Phone:971-241-3374
Mailing Address - Fax:503-883-9676
Practice Address - Street 1:833 NE LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-4132
Practice Address - Country:US
Practice Address - Phone:971-241-3374
Practice Address - Fax:503-883-9676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty